Individual ProviderClaude-Michael Edmund Chiemeka EzieStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1051 Riverside Dr, New York, NY 10032-1007(212) 305-2500PECOS EnrollmentBased on the most recent information from CMS, provider Claude-Michael Edmund Chiemeka Ezie does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1376120618Provider TypeIndividualFull NameEzie, Claude-Michael Edmund ChiemekaTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date3/24/2021Last Updated3/28/2021Contact InformationPractice LocationPractice Address1051 Riverside Dr, New York, NY 10032-1007Phone(212) 305-2500FaxUnlisted FaxMailing LocationMailing Address334 E 26th St Apt 12g-2, New York, NY 10010-1915PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer